Kathlyn Mae Austria De Los Reyes, | |
43322 Gingham Ave, Lancaster, CA 93535-4576 | |
(661) 874-4050 | |
(888) 977-1575 |
Full Name | Kathlyn Mae Austria De Los Reyes |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 43322 Gingham Ave, Lancaster, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730646456 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95011307 (California) | Primary |
Entity Name | Mobile Physicians Medical Allied Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184199275 PECOS PAC ID: 7810233491 Enrollment ID: O20190326000349 |
Entity Name | Doctors On The Go Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700523362 PECOS PAC ID: 6002296308 Enrollment ID: O20220705000849 |
Mailing Address | Practice Location Address |
---|---|
Kathlyn Mae Austria De Los Reyes, 3221 Vineland Ave Apt 56, Baldwin Park, CA 91706-5164 Ph: (323) 503-9927 | Kathlyn Mae Austria De Los Reyes, 43322 Gingham Ave, Lancaster, CA 93535-4576 Ph: (661) 874-4050 |
Christina Garst, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 415 East Avenue I, Lancaster, CA 93535 Phone: 661-522-6770 | |
Shalonte Allen-carrasquillo, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 43322 Gingham Ave, Lancaster, CA 93535 Phone: 661-874-4050 | |
James M Gocke, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 45014 10th St W, Suite 109, Lancaster, CA 93534 Phone: 661-942-2391 Fax: 661-723-3769 | |
Jill Diane Jepson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44151 15th St W, Suite 101, Lancaster, CA 93534 Phone: 661-902-5600 | |
Gigi Hammang, MSN, RNC, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 547 W Lancaster Blvd, Lancaster, CA 93534 Phone: 661-729-8655 | |
Rosanna Edith Salice, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 W Avenue J, Lancaster, CA 93534 Phone: 661-949-5000 | |
Min H Kim, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 43322 Gingham Ave, Lancaster, CA 93535 Phone: 661-874-4050 |